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Indiana Workers Compensation Item Filings List
prepared by ICRB
Board
Effective Assigned AR Received Filed by
Item # Title of Filing Brief Description Vote or NCCI Circular
Date Risk count at DOI DOI
DOI
This item revises the average weekly wage used in the
payroll determination for Code 7370-Taxicab Company,
Revisons to Miscellaneous Values
Code 9178-Athletic Sports or Park: Noncontact Sports,
Payroll Determination Formula for
and Code 9179-Athletic Sports or Park: Contact Sports. Board
B-1422 Codes 7370, 9178, 9179 & 9186 1/1/2012 3/24/2011 3/30/2011 CIF-2011-02
Eliminates the weekly maximum payroll limitation for Vote
& Revisons to Basic Manual
Code 9186-Carnival, Circus or Amusement Devise
Appendix F
Operator. Creates State Payroll Determination Formula
Table 2 in the Basic Manual, Appendix F.
This item discontinues the Coal Mine Occupational
Disease Performance Standards (CMODS) located on
Revisions to NCCI's Assigned ncci.com & incorporates the CMODS in the Assigned Board
RM-W-8037 1/1/2012 Yes 1 3/24/2011 Plan-2011-04
Carrier Performance Standards Carrier Performance Standards where needed. Clarifies Vote
various items and updates references in Performance
Standards.
Revision to Experience Rating This item creates a 3 year transition program for the
B-1420
Plan Manual Rule 1-D-4 Related 1/1/2011 executive officer minimum payroll amount. The amount 12/20/2010 12/20/2010 n/a
Amendment
to Worksheet Distribution is decreased from $1,000 to $585 for 2011.
This item:
-Revises Experience Rating Plan Manual Rule 1-D-4 so
Revision to Experience Rating employers can obtain their own experience rating
Board
E-1401 Plan Manual Rule 1-D-4 Related 7/1/2011 modification worksheets electronically 12/2/2010 12/13/2010 CIF-2010-19
Vote
to Worksheet Distribution -Creates or revises certain state exceptions to ERM Rule
1-D-4 regarding experience rating worksheet distribution
to the employer
This item amends the assigned risk deposit premium
rules located in the Basic Manual Rule 3-A-6 by:
Revisions to Basic Manual Rule 3- • Clarifying existing rules Board Plan-IN-2010-
RM-02-IN-2010 1/1/2011 yes 1 12/2/2010 12/13/2010
A-6 Deposit Premium • Reducing the maximum number of permitted additional Vote 02
payments during the year for policies with an estimated
annual premium of at least $25,000
This item creates two Indiana state exceptions to NCCI’s
Assigned Carrier Performance Standards for:
Revision to Assigned Carrier
• PS 3-C-2, regarding midterm policy changes resulting
Performance Standards 3- Board Plan-IN-2010-
RM-01-IN-2010 1/1/2011 from an employer-requested Waiver of Our Right yes 1 9/17/2010 9/22/2010
Underwriting and 7-Billing and Vote 01
to Recover From Others Endorsement (WC 00 03 13),
Collection of Premium
and
• PS 7-A-2, regarding billing statements
Revisions to Basic Manual Part Clarify and enhance the Basic Manual by creating a
Board
B-1421 Two-Classifications & Part Four- 1/1/2011 section to display classifications affected by transition 8/12/2010 9/22/2010 CIF-2010-17
Vote
Classifications Pending programs.
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Board
Effective Assigned AR Received Filed by
Item # Title of Filing Brief Description Vote or NCCI Circular
Date Risk count at DOI DOI
DOI
This item:
Revisions to Basic Manual Rule 2-
-Revises the procedure for determining the premium
E-1-B-Executive Officers Premium
basis for partners & sole proprietors Board
B-1420 Determination, 2-E-3-Partners & 1/1/2011 8/12/2010 8/20/2010 CIF-2010-14
-Revises the average weekly minimum individual payroll Vote
Sole Proprietors & Creation of
limitation for executive officers
Appendix F
-Creates Basic Manual Appendix F
Filed concurrently with RM-W-8036 to correspond with
Enhancements to LSRP
rule enhancements. Summary:
Endorsements WC 00 04 17 A
- WC 00 04 17 B merges WC 00 04 17 A with WC 00 04
RM-W-8036 and WC 00 04 18 E and 1/1/2011 DOI yes 1 7/1/2010 7/9/2010 Plan-2010-03
23 A
Withdrawal of LSRP Endorsement
- WC 00 04 18 F updates WC 00 04 18 E
WC 00 04 23 A
- WC 00 04 23 A withdrawn
Enhances the current national assigned risk LSRP (see
RM-W-8028). Filed concurrently with RM-W-8036.
Summary of IN exceptions:
Workers Compensation Insurance
- Indiana threshold is $100,000, not $200,000
Plan (WCIP) Loss Sensitive
RM-W-8035 1/1/2011 - Upon renewal, servicing carrier must notify employer DOI yes 1 7/1/2010 7/8/2010 Plan-2010-03
Rating Plan (LSRP) Basic Manual
with premium of $50,000 or more of possible application
Rule 4-C Enhancement
of LSRP
- Servicing carrier only holds the contingency deposit
and return premium from a final audit until the first
valuation
Five industries: 1) Banking & Check Cashing Stores 2)
Revisions to Basic Manual Insurance Operations 3) Oil or Gas Lease, Well & Drilling Board
B-1419 1/1/2012 1/27/2010 1/28/2010 CIF-2009-48
Classifications and Appendix E 4) Property & Building Management 5) Country Clubs. Vote
Classifications to be clarified, created, or discontinued.
Revise the General Information section as follows:
update the format to be more consistent with other NCCI
Revisions to Forms Manual of 7/1/2011 manuals; remove references to Advisory Forms; expand Board CIF-2009-65
P-1408 Workers Compensation and (changed from 1/27/2010 1/28/2010
the numbering for carrier specific Vote CIF-2009-67
Employers Liability Insurance 7/1/2010)
endorsements; revise several national and state specific
endorsements
Three industries: 1) Construction Yard 2) Wallboard
Revisions to Basic Manual installation and plastering 3) Painting. Classifications to Board
B-1417 1/1/2011 9/16/2009 9/17/2009 CIF-2009-48
Classifications and Rules be modernized, consolidated, created, discontinued, Vote
and/or clarified.
Revisions to Basic Manual
Establish new ―Code 7402—Aviation—Air Traffic
Classifications for Air Traffic
B-1418 1/1/2010 Controllers Under Contract with the FAA.‖ Reassign DOI 9/2/2009 9/10/2009 CIF-2009-45
Controllers Under Contract With
payroll for these entities from Code 7403.
the FAA
2009 Update to Retrospective
Rating Plan Parameters–State
Updates the State Hazard Group Relativities in Retro
Hazard Group Relativities
R-1401 1/1/2010 Manual; Discontinues alternative four-hazard-group DOI 9/2/2009 9/10/2009 CIF 2009-38
–Revision to Retrospective Rating
option.
Plan Manual Rule 3F –Revision to
Basic Manual Appendix E
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Board
Effective Assigned AR Received Filed by
Item # Title of Filing Brief Description Vote or NCCI Circular
Date Risk count at DOI DOI
DOI
2009 Update to Retrospective
Update Expected Loss Ranges and ELFs. Last update was
R-1400 Rating Plan Parameters–Excess 1/1/2010 DOI 9/2/2009 9/10/2009 CIF 2009-37
in R-1397.
Loss Factors
Creates a national residual market TOC Program in Basic
Establishment of Basic Manual
Manual Rule 4F; eliminates state specific TOC rules in Board
RM-W-8034 Rule 4-F - Takeout Credit 1/1/2010 yes 1 9/16/2009 9/17/2009 Plan 2009-04
Assigned Risk Miscellaneous Rules of Basic Manual; Vote
Program
establishes state rule exceptions as necessary.
Revisions to Basic Manual Rule 3- Provide carriers option to cancel a policy other than short
Board
B-1416 A-3-b – Cancellation Provisions 1/1/2010 rate if they file and receive approval for a different 9/16/2009 9/17/2009 CIF-2009-27
Vote
Table 4 method.
Carpentry industry: delete code 5651 & reassign
Revisions to Basic Manual
exposure to 5645; update cross reference phraseologies; Board
B-1415 Classifications and Appendix E 1/1/2011 8/5/2009 8/6/2009 CIF-2009-08
apply 3 year transition program; revise phraseology for Vote
Classifications by Hazard Group
codes 5102 & 5610
Multiple changes to Basic Manual Rule 3-A "Rating
Definitions & Application of Premium Elements" to
enhance understanding; "Explanation & Application"
Revisions to Basic Manual Rules affected: ARD, Cancellation, Combination of Legal
Board
B-1414 Classifications and Appendix E 1/1/2010 Entities, Disease Loading, Estimated Annual Premium, 8/5/2009 8/27/2009 CIF-2009-01
Vote
Classifications by Hazard Group Expense Constant, Coal Mine disease charge, Limits of
Liability, Majority Interest, Minimum Premium,
Nonratable Element, Other States Insurance, Premium
Discount, States Added, and Waiver of Subrogation.
Two industries: 1) Fiber optics industry - new codes
Revisions to Basic Manual
4109, 4110, 4149; discontinue codes 4112 & 4150; 2) Board
B-1413 Classifications and Appendix E 1/1/2011 3/30/2009 4/17/2009 CIF-2008-47
Telecommunications - discontinue codes 7601, 7611, Vote
Classifications by Hazard Group
7612, 7613 and reassign to 7600.
Three industries: 1) Film 2) Varnish Mfg 3) Superstores
Revisions to Basic Manual & Warehouse Clubs. Create new Code 8037 Store -
Board
B-1412 Classifications and Appendix E 1/1/2011 Superstores and Warehouse Clubs. Classifications to be 3/25/2009 3/27/2009 CIF-2008-44
Vote
Classifications by Hazard Group modernized, consolidated, created, discontinued, and/or
clarified.
Two industries: 1) Carpentry: delete codes 2812 & 2792;
Revisions to Basic Manual
2) Manufactured homes. Classifications to be Board
B-1410 Classifications and Appendix E 1/1/2011 2/2/2009 2/26/2009 CIF-2008-33
modernized, consolidated, created, discontinued, and/or Vote
Classifications by Hazard Group
clarified as shown.
Changes for the bakery industry to:
Revisions to Basic Manual • Revise the phraseology of Codes 2003 & 6504
Board
B-1409 Classifications and Appendix E 1/1/2011 • Create new Code 6503—Potato Chip, Popcorn & Snack 2/2/2009 2/26/2009 CIF-2008-19
Vote
Classifications by Hazard Group Chip Mfg. NOC.
• Modernize, consolidate, and clarify other codes
2009 Edition of the Retrospective
Rewrite of manual in plain language without changing
Rating Plan Manual for Workers Board
R -1399 1/1/2010 substance and intent of rules. Manual last rewritten in 6/25/2009 7/22/2009 CIF-2009-03
Compensation and Employers Vote
1984. For endorsement filing, see P-1407(A).
Liability Insurance
Amends Retro endorsements to coincide with the 2009
Revised Retrospective Rating Plan Board
P-1407(A) 1/1/2010 Retro Manual. See R-1399. Replaces filing P-1407 which 6/25/2009 7/22/2009 CIF-2009-14
Endorsements Vote
was never filed in Indiana.
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Board
Effective Assigned AR Received Filed by
Item # Title of Filing Brief Description Vote or NCCI Circular
Date Risk count at DOI DOI
DOI
Three industries: 1) Child Day Care, 2) Engineering and
Revisions to Basic Manual Research, and 3) Inventory Counters. Classifications to Board
B-1408 1/1/2010 1/15/2009 2/4/2009 CIF-2008-09
Classifications and Rules be modernized, consolidated, created, discontinued, Vote
and/or clarified as shown.
Four industries: 1) Horticulture, 2) Fruit Farms, 3) Sugar
Revisions to Basic Manual Manufacturing, 4) Tobacco Mfg. Classifications to be Board
B-1406 1/1/2010 2/2/2009 2/26/2009 CIF-2008-03
Classifications and Rules modernized, consolidated, created, discontinued, and/or Vote
clarified as shown.
• Introduction—clarify language that NCCI, and in
Indiana that ICRB, has authority to determine class
Revisions to Basic Manual
assignments and application of Basic Manual rules.
Introduction - Application of Board
B-1411 4/1/2009 • Part Two—Classifications—more user friendly and 1/26/2009 2/13/2009 CIF-2008-40
Manual Rules & Part Two Vote
easier to understand
Classifications
• Part Four—Classifications Pending—create this new
section to assist with pending classification changes
2008 Update to Retrospective
Update Expected Loss Ranges and ELFs. Last update was
R-1397 Rating Plan Parameters – 1/1/2009 DOI blank 7/29/2008 CIF-2008-10
in R-1396.
Excess Loss Factors
2008 Update to Retrospective
Update State Hazard Group Relativities. Last update was
R-1398 Rating Plan Parameters – 1/1/2009 DOI blank 7/29/2008 CIF-2008-11
in R-1396.
State Hazard Group Relativities
Replace the current 2002 standards (RM-01-IN-02)
Assigned Carrier Performance effective 4/1/02, which were updated in 2007 (RM-02-IN- Board
RM-W-8031 1/1/2009 yes 1 3/25/2008 4/21/2008 Plan 2008-07
Standards 2006), with this 2009 edition. Adds several Indiana state Vote
exceptions to document existing procedures.
Clarifies the Indiana state exception which requires the
Revision to Basic Manual Rule 4- assigned carrier return any unused portion of the LSRP Board Plan IN 2008-
RM-01-IN-2008 10/1/2008 yes 1 8/19/2008 8/21/2008
C Loss Sensitive Rating Plan contingency deposit premium not needed after the first Vote 01
valuation.
Revise endorsements so that both foreign and domestic
Withdrawal of Endorsement WC
terrorism are included in the same endorsement; as
00 01 13 A and Revisions to
P-1406 9/1/2008 result of Terrorism Risk Insurance Program DOI 7/3/2008 7/17/2008 CIF-2008-04
Endorsements WC 00 04 21 B
Reauthorization Act of 2007 (TRIPRA). In conjunction
and WC 00 04 22
with Item B-1407.
Catastrophe Provisions Revise values, wording, and premium algorithm as result
B-1407 Miscellaneous Values, Rules and 9/1/2008 of Terrorism Risk Insurance Program Reauthorization Act DOI 7/3/2008 7/17/2008 CIF-2008-05
Statistical Codes of 2007 (TRIPRA). In conjunction with Item P-1406.
2008 Statistical Plan for Workers Statistical Plan enhancements include: reformat, update
Board
U-1397 Compensation and Employers 9/1/2008 code values, rule clarification, reorganization of loss & 6/26/2008 7/17/2008 Units 2008-01
Vote
Liability Insurance expense information.
Revise two endorsements with technical clarifications: AR 1/25/2008
Board
RM-W-8030 Revision to Forms Manual 1/1/2008 LSRP Endorsement WC 00 04 18 D and AR LSRP yes 1 (mailed on 1/25/2008 Plan 2007-07
Vote
Notification Endorsement WC 00 04 23 A 12/5/07)
Terrorism Risk Insurance Revise Rule 3-A-24-a of the Basic Manual to remove
B-1405 Program Reauthorization Act of 1/1/2008 12/31/05 expiration date & replace with "and any DOI 1/3/2008 1/3/2008 CIF-2007-09
2007 amendments thereto enacted by Congress."
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Board
Effective Assigned AR Received Filed by
Item # Title of Filing Brief Description Vote or NCCI Circular
Date Risk count at DOI DOI
DOI
1. Revise Terrorism Risk Insurance Extension Act
Terrorism Risk Insurance Endorsement (old: WC 00 01 13; new: WC 00 01 13 A)
P-1405 Program Reauthorization Act of 1/1/2008 2. Revise Domestic Terrorism, Earthquakes, and DOI 1/3/2008 1/3/2008 CIF-2007-10
2007 Endorsements Catastrophic Industrial Accidents Premium End (old: WC
00 04 21 A; new: WC 00 04 21 B)
Elimination of the Manual of the Discontinue Coal Mine Manual. Make Code 1016 a state
RM-01-IN-2007 1/1/2008 DOI 9/28/2007 10/17/2007 none
Underground Coal Mine Rules special. Establish premium transition program.
2007 Update to Retrospective Update Expected Loss Ranges, State Hazard Group
R-1396 1/1/2008 DOI no stamp 9/17/2007 CIF-2007-05
Rating Plan Parameters Relativities, and ELFs. Last update was in B-1403.
Improve format of Appendix E: 1) Add column titled
Basic Manual Revision to ―Discontinued in‖ showing the state(s) and
Board
B-1404 Appendix E - Table of 1/1/2008 discontinuation date in which each class code is no 8/28/2007 9/17/2007 CIF-2007-06
Vote
Classifications by Hazard Group longer applicable; 2) Add effective date in the ―Applies
in‖ and ―Discontinued in‖ columns
Change hazard group exhibits in B-1397 to reflect new
hazard group labels due to B-1403 (appendix in Basic
Revision to Basic Manual
B-1397 Manual). Added 3 class codes (3069, 5535, 7705) that
Classifications and Rules - 7/1/2007 DOI no stamp 9/17/2007 IN-2007-05
Amendment were inadvertently omitted from the hazard group
Amendment
exhibit. Updated Servicing Carrier Performance
Standards to reflect class code changes in Item B-1397.
Eight industries impacted: Ambulance and Emergency
Medical Services, Athletic Team Sports and Parks,
Revision to Basic Manual Board
B-1397 7/1/2007 Cleaning Services and Pet Sitting, Domestics, Firefighting 3/15/2007 3/26/2007 CIF-2006-08
Classifications and Rules Vote
Including Volunteer Firefighters, Logging, Mailing
Companies, Sheet Metal
Effective for ER mods from 5/27/02 through 6/12/07.
Filing provides a new catastrophe loss code 87 to be
Exclusion of Catastrophe Losses Board
E-1400 3/8/2007 used to report disease losses attributable to the terrorist 2/28/2007 3/8/2007
From Experience Rating Vote
attacks on the World Trade Center. Such losses will be
excluded from the mod.
Revision to 2002 Servicing Revise performance standards to be consistent with 2006
RM-02-IN-2006 1/1/2007 DOI yes 1 10/19/2006 10/23/2006
Carrier Performance Standards Assigned Risk Supplement
Revisions to Basic Manual and Revise Hazard Groups, update Expected Loss Ranges,
B-1403 Retrospective Rating Plan Manual 1/1/2007 and update State Hazard Group Relativities. Number of DOI 9/27/2006 9/27/2006
/ 2006 Update to Hazard Groups hazard groups increased from 4 to 7.
Clarify, eliminate or combine classifications in the Basic
Revision to Basic Manual Manual for the aviation industry. Majority of aviation
B-1399 Classifications for Aviation 1/1/2007 risks will be reclassified from Code 7422 to Code 7425, DOI 9/27/2006 9/27/2006
Industry which results in rate decrease. Transition program
implemented over several years.
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Board
Effective Assigned AR Received Filed by
Item # Title of Filing Brief Description Vote or NCCI Circular
Date Risk count at DOI DOI
DOI
Create national LSRP rule in Basic Manual, Rule 4-C and
apply Indiana state rule exceptions where appropriate
(Exhibit 5 of filing). Summary of IN exceptions:
Rule 4C - Assigned Risk - Indiana threshold is $100,000, not $200,000
Board
RM-W-8028 Mandatory Loss Sensitive Rating 7/1/2006 - Upon renewal, servicing carrier must notify employer yes 1 6/5/2006 6/6/2006 Plan 2007-07
Vote
Plan (LSRP) with premium of $50,000 or more of possible application
of LSRP
- Servicing carrier only holds the contingency deposit
and return premium from a final audit until the first
valuation
Create, amend, and withdraw as applicable,
endorsements contained in previously filed Items B-
1383, B-1393, and P-1392 as summarized below.
- Replace the TRIA Endorsement (WC 00 04 20) with
new TRIA Endorsement (WC 00 01 13), used with the
Terrorism Risk Insurance
P-1404 1/1/2006 Foreign Terrorism Prem Endorsement (WC 00 04 22) DOI 1/26/2006 2/2/2006
Extension Act of 2005
- Amend the DTEC Industrial Accidents Premium
Endorsement (WC 00 04 21) to reflect a revised
definition of Domestic Terrorism
- Withdraw the TRIA Endorsement (WC 00 04 20)
- Withdraw the Notification Endorsement of Pending Law
Change to TRIA of 2002 (WC 00 01 12)
Change the name of the endorsement from Rural
Revision of the Rural
Electrification Administration Endorsement to Rural Board
P-1401 Electrification Administration 1/1/2006 12/16/2005 12/27/2005
Utilities Service (WC 00 03 09 B) to reflect name change Vote
Endorsement
of the agency.
Update coding specs for deductible type, injury
description code, and loss conditions codes; remove
URE Workers Compensation Board
U-1396 1/1/2006 social security number data element; reference new USR 12/12/2005 12/19/2005
Statistical Plan Update Vote
Guidebook; update class code & correction reports
instructions
Revisions to Basic Manual
Clarify or eliminate classification codes and rules in the
Classifications and Rules, Board
B-1394 1/1/2006 Basic Manual to reflect current business and industry 12/14/2005 12/19/2005
Addendum to Filings B-1387 and Vote
needs. 15 codes impacted.
B-1391
Revise assigned risk rules for employee leasing
Professional Employer arrangements. Creates a national rule in Basic Manual, Board
RM-W-8027 1/1/2006 yes 1 11/23/2005 12/5/2005
Organization (PEO) Arrangements Rule 4-B. Replaces "labor contractor" wording with Vote
"PEO."
Continues & re-lables catastrophe provisions to address
Miscellaneous Values For Foreign the risk of foreign terrorism on workers compensation Board
B-1398 1/1/2006 11/10/2005 11/18/2005
Terrorism policies. Replaces "TRIA" wording with "Foreign Vote
Terrorism" wording.
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Board
Effective Assigned AR Received Filed by
Item # Title of Filing Brief Description Vote or NCCI Circular
Date Risk count at DOI DOI
DOI
Item B-1403 did not include hazard group labels for the
two new charitable codes, 8842 and 8864. This update
B-1387 Update to Hazard Groups for provides a technical amendment to page 6 in Item B-
1/1/2006 DOI 4/26/2007 5/3/2007
Amendment Codes 8842 & 8864 1387, which reflects the change in hazard group labels.
The labels for Codes 8842 and 8864 will be ―C-2‖, same
as the codes they replace, 8861 and 9110.
Amend the classification treatment of several business
Revisions of Basic Manual types through a three-year transition program. Board
B-1387 1/1/2006 2/28/2005 3/8/2005
Classifications (Charitable Welfare Organizations & Group Homes and Vote
Bottling Operations).
Eliminate or enhance selected Basic Manual
classifications & Basic Manual classification advisory
notes to reflect current business & industry needs
relative to these items. (Bag or Sack Manufacturing,
Revision to Basic Manual Board
B-1391 1/1/2006 Linotype Printing, Ice Mfg., Five-&-Dime Stores, 2/28/2005 3/8/2005
Classifications Vote
Restaurant, Real Estate Appraisal & Agency, Commercial
Restaurant Equipment Installation, Auto Dismantling &
Recycling, Book or Record Stores and Heating,
Ventilation, Air-Conditioning & Refrigeration).
Update the Expected Los Ranges & State Hazard Group
2005 Update to Retrospective
R-1395 10/1/2005 Relativities in the Retrospective Rating Plan Manual for DOI 5/2/2005 5/4/2005
Rating Plan Parameters
Workers Compensation & Employers Liability Insurance.
Enhance reporting requirements to the URE Workers
Compensation Statistical Plan by adding 6th - 10th unit
Unit Statistical Reporting Board
U-1390 7/1/2005 statistical report levels (claims) & improving the clarity of 10/18/2004 12/6/2004
Instruction Enhancements Vote
the definition & reporting instructions for fraudulent
claims.
Due to understated payroll detected after the 1/1/05 rate
filing, loss costs and advisory rates for eight codes are
Revision of Rates for Eight Class
1/1/2005 reduced (1655, 3085, 3365, 5472, 5473, 7601, 7720, & DOI 9/21/2005 9/21/2005
Codes
8107). Reference NCCI Circular IN-2006-01 dated
2/6/06.
Addresses uncertainties in having to issue new,
outstanding or renewal policies for periods effective
January 1, 2005 & thereafter without knowing if
Notification Endorsement of Congress will extend the Terrorism Risk Insurance Act
Pending Law Change to Terrorism (TRIA) beyond December 31, 2005. Additionally, this Board
P-1392 1/1/2005 10/18/2004 11/29/2004
Risk Insurance Act of 2002 (WC item will be used to clarify for policyholders that a Vote
00 01 12) premium charge for foreign terrorism may either
continue to be applied, or changed from the amount
currently applied, following the possible expiration of
TRIA.
Miscellaneous Values For
Produce catastrophe provisions, by state, to address
Domestic Terrorism, Earthquakes
B-1393 1/1/2005 losses resulting from domestic terrorism, earthquakes & DOI 10/18/2004 11/19/2004
and Catastrophic Industrial
catastrophic industrial accidents.
Accidents
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Board
Effective Assigned AR Received Filed by
Item # Title of Filing Brief Description Vote or NCCI Circular
Date Risk count at DOI DOI
DOI
Establish a stand-alone Indiana pooling mechanism to
Indiana Workers Compensation Board
None 1/1/2005 replace our current arrangement with the National yes 1 10/13/2004 11/16/2004
Reinsurance Pool Filing Vote
Workers Compensation Reinsurance Pool.
Revision of the Employers Remove the exclusion for bodily injury to any member of
Liability Coverage Endorsement the flying crew of any aircraft from the Employers
Board
P-1389 (WC 00 03 03B) and Federal 10/1/2004 Liability Coverage Endorsement (WC 00 03 03B), & to 8/6/2004 8/10/2004
Vote
Employers' Liability Act Coverage clarify the use of the Federal Employers' Liability Act
Endorsement (WC 00 01 04) Coverage Endorsement (WC 00 01 04).
Update the Expected Loss Ranges & State Hazard Group
2004 Update to Retrospective
R-1388 7/1/2004 Relativities in the Retrospective Rating Plan Manual for DOI 2/19/2004 3/15/2004
Rating Plan Parameters
Workers Compensation & Employers Liability Insurance.
Subsequent to filing Item U-1386, several administrative
errors were identified that minimally impact certain
URE WCSP Pension Table
U-1386A 1/1/2004 information in selected tables. The necessary corrections DOI 2/19/2004 3/15/2004
Revisions (1999 Mortality)
have been made & a complete replacement to the 2004
Pension Tables is included in this item filing.
Update the pension tables contained in the URE Workers
Compensation Statistical Plan (Part 8) using data from
URE WCSP Pension Table Board
U-1386 1/1/2004 the 1999 United States Life Tables & data contained in 9/11/2003 9/17/2003
Revisions (1999 Mortality) Vote
the 1980 United State Railroad Retirement Board
Remarriage Table.
2003 Experience Rating Plan Introduce a new Experience Rating Plan Manual for Board
E-1379 12/1/2003 12/2/2003 2/10/2004
Manual Workers Compensation & Employers Liability Insurance. Vote
Update the Expected Loss Ranges & State Hazard Group
2003 Update to Retrospective
R-1385 12/1/2003 Relativities in the Retrospective Rating Plan Manual for DOI 7/15/2003 8/28/2003
Rating Plan Parameters
Workers Compensation & Employers Liability Insurance.
Board
RM-W-03-IN-02 Assigned Risk Deposit Premiums 5/1/2003 Revise the assigned risk deposit premium requirements. yes 1 1/31/2003 2/4/2003
Vote
Elimination of Code 0917 - Eliminate Code 0917-Domestic Service Contractor-Inside
Board
01-IN-02 Domestic Service Contractor - 1/1/2003 and reassign these operations to Code 9014-Buildings- 12/4/2002 12/6/2002
Vote
Inside Operation by Contractors.
Catastrophe Provision-Certified
Establish catastrophe provisions by state that address
Terrorism Losses (as defined in
B-1383 12/20/2002 certified terrorism losses as defined in the Terrorism Risk DOI 12/27/2002 1/7/2002
Terrorism Risk Insurance Act of
Insurance Act of 2002.
2002)
Amended Assigned Risk
Change the eligibility threshold for the Assigned Risk Board
RM-02-IN-02 Mandatory Loss Sensitive Rating 12/1/2002 7/18/2002 7/22/2002
Mandatory Loss Sensitive Rating Plan (LSRP) in Indiana. Vote
Plan (LSRP)
Clarify reporting rules for Expense Constant and
Minimum Premium on mulit-state policies. Clarify
verbiage regarding fraud recoveries, which implied the
URE Workers Compensation recovery was fraudulent instead of the claim being Board
U-1380 11/1/2002 6/28/2002 7/3/2002
Statistical Plan Update fraudulent. Update "Workers Compensation Appeals Vote
Board" to a more general term. Reformat the Injury
Description Codes in Part 7, similar to the format in Part
4.
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Board
Effective Assigned AR Received Filed by
Item # Title of Filing Brief Description Vote or NCCI Circular
Date Risk count at DOI DOI
DOI
Improve the clarity of various rules contained in Basic
Basic Manual Rules Board
B-1373 7/1/2002 Manual for Workers Compensation & Employers Liability 3/1/2002 3/5/2002
Enhancements Vote
Insurance.
2002 Update to Retrospective Update the State and Hazard Group Severity Relativities
R-1378 7/1/2002 DOI 2/1/2002 2/6/2002
Rating Plan Parameters of the Retrospective Rating Plan.
Claims directly attributable to the terrorist acts of
Exclusion of Terrorism Losses Board
E-1376 5/27/2002 September 11, 2001, be excluded from experience rating 2/20/2002 2/26/2002
From Experience Rating Vote
calculations for ratings effective 5/27/02 to 6/14/06.
2002 Servicing Carrier Revise & update the current Indiana servicing carrier
Performance Standards & 2002 performance standards that were approved effective
Board
RM-01-IN-02 Servicing Carrier Performance 4/1/2002 1/1/2000; and Indiana servicing carrier performance yes 1 5/23/2002 5/20/2002
Vote
Standards for Coal Mine standards for coal mine occupational disease, that were
Occupational Disease (CMOD) approved effective 1/1/2001.
Modifies the WC Insurance Plan (WCIP/Plan). It
addresses 3 objectives concerning the Nat'l WC
Reinsurance Pool's (the "Pool") authority related to the
Plans. It reinsures the activities of the Plan Admin for
Modified Workers Compensation such Plans, in an effort to provide the Pool Board with a Board
RM-W-8021 1/1/2002 yes 1 1/22/2002 3/12/2002
Insurance Plan (WCIP) more appropriate framework within which to discharge Vote
its fiduciary duties, provide the Pool members a greater
voice in matters that directly affect the financial interests
of the Pool participants, and assist the Regulator with
Plan expense oversight.
Changes to the NWCRP provide for a Pool financial credit
Workers Compensation Insurance
policy to protect the NWCRP participants from credit risk
Plan (WCIP) - Proposed
of insolvent Pool members, provides the NWCRP Board of
Amendments to the National Board
RM-W-8024 1/1/2002 Governors with the ability to commute historical claims yes 1 12/11/2001 1/23/2002
Workers Compensation Vote
or losses when it is in the best interest of the NWCRP
Reinsurance Pool (NWCRP)
participants, and makes several housekeeping
Articles of Agreement
amendments to the Articles of Agreement.
Amend rules related to reporting of the Fraudulent Claim
Reporting of Fraudulent Claim Board
U-1374 1/1/2002Code as they appear in Unit Report Expansion (URE) 12/17/2001 1/9/2002
Code Vote
Workers Compensation Plan.
Provides additional direction for endorsing or changing
Issuing Agency/Producer Office
the "Issuing Agency/Producer Office Address Board
U-1372 Address Endorsement - WC 89 06 11/16/2001 10/31/2001 11/6/2001
Endorsement (WC 89 06 25)" be added to the Policy Vote
25
Information Page Endorsement.
Amend the current rule regarding employee leasing in
ER-IN-2000-01 Employee Leasing 8/1/2001 DOI 7/19/2000 7/31/2000
the Experience Rating Plan Manual.
Introduce a new Basic Manual for Workers Compensation
& Employers Liab. Ins. The manual has been revised
2001 Basic Manual for Workers with particular emphasis on increasing the ability of
Board
B-1369 Compensation 7/1/2001 users to quickly find the information they need in an 6/8/2001
Vote
& Employers Liability Insurance electronic environment. In addition, we expanded our
plain language approach & changed the appearance of
the manual to better meet our customers needs.
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Board
Effective Assigned AR Received Filed by
Item # Title of Filing Brief Description Vote or NCCI Circular
Date Risk count at DOI DOI
DOI
Update the Expected Loss Rangers and State and Hazard
2001 Update to Retrospective
R-1371 7/1/2001 Group Severity Relativities of the Retrospective Rating DOI 4/16/2001 4/24/2001
Rating Plan Parameters
Plan.
Is to introduce Premium Due Date Endorsement WC 00
04 XX. This endorsement will comply with the National Board
P-1370 Premium Due Date Endorsement 1/1/2001 1/5/2001 1/29/2001
Association of Insurance Commissioners (NAIC) Vote
Statement of Statutory Accounting Principles No. 6.
Revise and update the current Coal Mine Occupational
Board
RM-02-IN-00 Coal Mine Occupational Disease 1/1/2001 Disease performance standards for Indiana servicing yes 1 12/20/2000 1/17/2001
Vote
carriers in the areas of claims and loss control.
Clarify the language in URE Workers Comp. Statistical
Plan and provide further direction for reporting unit
statistical data. In addition, this filing contains changes
URE Workers Compensation
to the following two rules for reporting unit statistical
U-1368 Statistical Plan 1/1/2001 DOI 6/4/2001
data. ~Establish guidelines for reporting Fraud Amount
Revision
on claims that have been determined as fraudulent.
~Discontinue use of the ERM-6 form by affiliate self-
insurers.
Workers Compensation Premium Established a state algorithm in the Basic Manual to Board
B-1351 07/01/00 8/31/1998 9/2/1998
Algorithm provide guidance for premium computation. Vote
Permitted the assignment of yard employees of roofing
Code 5551 - Roofing - Amended
B-1362 07/01/00 contractors to Code 8227, eliminating the requirement DOI 2/14/2000 2/22/2000
Phraseology
that they be classified to Code 5551.
Amends classification phraseologies for Codes 7403 -
Aircraft or Helicopter Operation: Air Carrier - Scheduled
or Supplemental: All Other Employees & Drivers; 7405 -
Aircraft or Helicopter Operation: Air Carrier - Scheduled
Codes 7603, 7405, 7423, and
or Supplemental: Flying Crew; 7423 - Aircraft or Board
B-1363 7431 - Air Carrier Classification - 07/01/00 2/10/2000 2/16/2000
Helicopter Operation: Air Carrier - Commuter; All Other Vote
Amended Phraseologies
Employees & Drivers; & 7431 - Aircraft or Helicopter
Operation: Air Carrier - Commuter: Flying Crew to
maintain the proper classification assignments of these
codes.
Basic Manual Rule IV-D.4:
Clarify the intent of Basic Manual Rule IV-D.4. Board
B-1364 Assignment of Additional Basic 07/01/00 2/10/2000 2/16/2000
Assignment of Additional Basic Classification. Vote
Classifications
1) Is to increase the standard limit of liab under Part 2
Employers' Liab Ins for Admiralty Law (Maritime) of FELA
Ins to Bodily Injury by Accident, $100,000 ea accident &
Bodily Injury by Disease, $100,000 aggregate. 2) Is to
Revision to Admiralty and Federal
modify the ratemaking methodology for the admiralty
B-1366 Employers' Liability Act 07/01/00 DOI 3/30/2000 4/5/2000
classifications so that the assigned risk rates & voluntary
Classifications
loss cost/advisory rates for these classifications are
based upon their own experience. 3) To eliminate "A"
rate or average rate indicator in the Basic Manual rate
pages for FELA classifications.
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Board
Effective Assigned AR Received Filed by
Item # Title of Filing Brief Description Vote or NCCI Circular
Date Risk count at DOI DOI
DOI
Update the Expected Loss Rangers and State and Hazard
2000 Update to Retrospective
R-1365 07/01/00 Group Severity Relativities of the Retrospective Rating DOI 1/19/2000 1/26/2000
Rating Plan Parameters
Plan.
Indiana Residual Market Workers
Amended RM-W-8022 to clarify that the assigned risk
RM-01-IN-00 Compensation Premium 07/01/00 DOI yes 1 7/19/2000 6/16/2000
surcharge is part of standard premium.
Algorithm Amendment
Residual Market Workers
Establish a state premium algorithm in the Basic Manual Board
RM-W-8022 Compensation Premium 07/01/00 yes 1 8/31/1998 9/2/1998
to provide guidance for premium computation. Vote
Algorithm
Elimination or Enhancement of Eliminated or enhanced selected Basic Manual
Selected Basic Manual classifications & advisory notes to reflect current Board
B-1359 01/01/00 8/12/1999 8/23/1999
Classifications and Basic Manual business needs. Eliminated codes: 1470, 7323F & 8710. Vote
Classification Advisory Notes Clarified codes: 2114, 3581, 4432, 4611, 4825 & 3400.
Enhanced various Basic Manual rules & references as
outlined:
~Further defined store & farm classification assignment
procedures.
~Identified classifications within the construction,
farming & store industry groups.
~Omitted references to specific premium discount
schedules.
Basic Manual Updates of Selected Board
B-1361 01/01/00 ~Added examples of premium discount calculations for 8/25/1999 8/27/1999
Rules and References Vote
multi-state policies.
~Further defined minimum premium calculations for
multi-state policies & cancelled policies.
~Clarified the two methods (factor or percentage) for
calculating short rate premium.
~Reference explaining the ICRB or NCCI cannot provide
legal advice regarding application of various state &
federal laws pertaining to coverage issues.
Updates to the deductible & coinsurance percentages on
Indiana Advisory Voluntary & the Miscellaneous Values pages of the 1/1/00 advisory
None Assigned Risk Rates - 01/01/00 voluntary & assigned risk rate filings & inclusion of Loss DOI
Miscellaneous Values Update Sensitive Rating Plan factors on the assigned risk
Miscellaneous Values page.
2000 Servicing Carrier Established 2000 Servicing Carrier Performance Board
None 01/01/00 yes 1 7/15/1999 8/2/1999
Performance Standards Standards. Vote
Updated the pension tables contained the Workers
Compensation Statistical Plan (Part XII) and the 1996
WCSP Pension Table Revisions Workers Compensation Statistical Plan (Part 7) using Board
U-1355 01/01/00 yes 1 4/29/1999 5/13/1999
(89-91 Mortality) data from the 1989-1991 U.S. Decennial Life Tables. In Vote
addition, four examples contained in the Pension Table
Guide were modified to reflect this new data.
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Effective Assigned AR Received Filed by
Item # Title of Filing Brief Description Vote or NCCI Circular
Date Risk count at DOI DOI
DOI
Established the URE Workers Compensation Statistical
Plan as a replacement of the 1996 Workers
URE Workers Compensation Compensation Statistical Plan. No changes were made to Board
U-1360 01/01/00 yes 1 7/27/1999 8/9/1999
Statistical Plan the rules, however, a number of enhancements were Vote
made. For example, coding specifications & statistical
codes are new to the manual.
Adjusts the initial Item U-1360 previously filed &
approved on 8/8/99. The manual is national in scope
URE Workers Compensation and used in many states. The majority of changes in Board
U-1360A 01/01/00 yes 1 1/10/2000 1/12/2000
Statistical Plan (Addendum) this filing addressed state exceptions for states other Vote
than Indiana. There are no exceptions required for
Indiana.
NOT FILED
Amend the affiliate and non-affiliate ERM-6 forms to
Experience Rating for Self-
E-1357 10/01/99 accommodate the recent changes to the Experience
Insureds - Affiliate & Non-Affiliate
Rating Plan Manual rules.
ERM-6 Forms
Amended the Basic Manual rule XII.D. to clarify that the
rates for certain Admiralty/FELA classification codes
U.S. Longshore and Harbor include premium for coverage under the USL&HW Act.
Board
B-1354 Workers' Compensation Act - 07/01/99 Accordingly, the rates for these class codes should not be 4/29/1999 5/13/1999
Vote
Classifications and Rates. increased by the state USL&HW percentage increase
even though such codes are not followed by the letter
"F" indicating federal act coverage.
Updated the State and Hazard Group Severity Relativities
and the USL&HW Excess Loss Pure Premium Factors of
1999 Update to Retrospective Board
B-1356 07/01/99 the Retrospective Rating Plan. Also, a rule will be 4/19/1999 5/13/1999
Rating Plan Parameters and Rules Vote
introduced regarding the use of deductible or
coinsurance programs with retrospectively rated policies.
Added an eighth characteristic to the Indiana Schedule
ER-IN-01 Drug Free Workplace Program 07/01/99 Rating Table to allow a credit or debit up to 5% for an DOI 6/9/1999 7/29/1999
employer with a Drug Free Workplace Program.
Assigns Statistical Code 0935 - Second Injury Fund
Surcharge as a method for tracking this assessment.
Pursuant of House Enrolled Act 2085, this surcharge is Board
None Second Injury Fund Surcharge 7/1/1999
not premium; however, each insurance company must Vote
show the assessment on the policy as "a surcharge based
on the employer's premium".
Amended rules related to submission of losses as they
appear in the 1996 Workers Comp Statistical Plan, Part Board
U-1358 Claim Grouping Option 07/01/99 4/29/1999 5/12/1999
4, Section 2, and in the Pre-URE Workers Compensation Vote
Statistical Plan, Part IV, Section 2.
Enhanced classification phraseologies & footnotes for
Codes 4583-Fertilizer Mfg. & Drivers, 8215-Hay, Grain or
Fertilizer Dealers and Board
B-1352 01/01/99 Feed Dealer & Local Managers, Drivers & 0050-Farm 8/31/1998 9/2/1998
Manufacturers Vote
Machinery Operation-By Contractor & Drivers to facilitate
the proper classification assignments of these codes.
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Effective Assigned AR Received Filed by
Item # Title of Filing Brief Description Vote or NCCI Circular
Date Risk count at DOI DOI
DOI
1999 Servicing Carrier Established 1999 Servicing Carrier Performance Board
None 01/01/99 yes 1
Performance Standards Standards. Vote
Modifies the WC Insurance Plan (WCIP/Plan). It
addresses 3 objectives concerning the Nat'l WC
Reinsurance Pool's (the "Pool") authority related to the
Plans. In reinsures the activities of the Plan Admin for
Modified Workers Compensation such Plans, in an effort to provide the Pool Board with a Board
RM-W-8021 01/01/99 yes 1 1/22/2002 3/12/2002
Insurance Plan (WCIP) more appropriate framework within which to discharge Vote
its fiduciary duties, provide the Pool members a greater
voice in matters that directly affect the financial interests
of the Pool participants, and assist the Regulator with
Plan expense oversight.
Provided an updated Table of Insurance Charges and
State & Hazard Group Relativities for the exclusive use Board
R-1350 Table of Insurance Changes 11/01/98 8/31/1998 9/2/1998
by companies affiliated with NCCI for Large Account Vote
License, Service, & Maintenance.
Combines the explosives manufacturing classification
Codes 4770, 4773, 4774, 4775, 4776, 4779 and 4799
Consolidation of Selected Board
B-1347 07/01/98 into classification Code 4771 and the non-ratable 11/13/1997 11/13/1997
Explosives Manufacturing Codes Vote
element (NRE) Codes 0770, 0773, 0774, 0775, 0776,
0779 and 0799 into statistical Code 0771.
Enhanced classification phraseologies, footnotes, and
cross-references for Codes 8380-Gasoline Station-Retail
& Drivers NOC, 8381-Gasoline Station-Retail-Self-
Automobile Gasoline Stations and Service, and Code 8006-Grocery-Retail to facilitate the Board
B-1348 07/01/98 2/27/1998 3/2/1998
Convenience Stores proper classification assignments to these codes. Vote
Further, this item eliminated Code 8061-Grocery-
Convenience-Retail & combined these store operations
with Code 8006.
Added a new rule in the Basic Manual to clarify the use
of the Waiver of Right to Recover From Others
Endorsement. If the carrier decides to charge premium
Waiver of Right to Recover From for the endorsement (even on a individual risk basis), it
Board
B-1349 Others & Limited Liability 07/01/98 must file that charge with the Indiana Department of 11/24/1997 11/26/1997
Vote
Companies Insurance. The ICRB has no charge (rate) filed on behalf
of its members for the waiver. However, the standard
endorsement is already filed & ready for use. If the
carrier makes no charge, then no filing is necessary.
Modifies the Revised Experience Rating Plan to
substantially decrease the incentive for employers to pay
their own claims. In addition, this filing served to
maintain optimal performance of the experience rating
E-1339 Experience Rating Adjustment 07/01/98 DOI 2/17/1998 2/18/1998
plan. The three key changes were: -Reduce the weight
on medical only losses. -Increase the weight on excess
losses. -Make the split of actual losses between primary
& excess to be inflation-sensitive.
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Board
Effective Assigned AR Received Filed by
Item # Title of Filing Brief Description Vote or NCCI Circular
Date Risk count at DOI DOI
DOI
Clarify and enhance the Basic Manual for Workers
Basic Manual Rule & Classification Board
B-1343 01/01/98 Compensation and Employers Liability Insurance in the 8/20/1997 8/21/1997
Enhancements Vote
rules & classification code sections.
Remove carpet, linoleum, vinyl, asphalt, and rubber floor
Carpet, Linoleum, Vinyl, Asphalt, tile installation operations from Classification Code 9521-
Board
B-1346 and Rubber Floor Tile Installation- 01/01/98 House Furnishings Installation NOC & Upholstering and 8/20/1997 8/21/1997
Vote
Code 5478 reassigned these operations to newly established Code
5478.
Amended the Experience Rating Plan Manual rules
related to recalculation of experience modifications when
an insurance provider submits revised loss data. An
Experience Modification Board
E-1332 12/01/97 accompanying filing, (U-1344-WC Statistical Plan; 10/9/1997 10/14/1997
Recalculation Revision of Losses Vote
Special Fund & Subrogation Recoveries) provides the
necessary changes to the Statistical Plan Manual as a
result of Item E-1332.
Amended the Statistical Plan Manual and the Revised
Statistical Plan rules related to submission of revised loss
Workers Compensation Statistical
data. An accompanying filing, (E-1332-Experience Board
U-1344 Plan - Special Fund and 12/01/97 10/9/1997 10/14/1997
Modification Recalculation-Revision of Losses) provides Vote
Subrogation Records
the proposed changes to the Experience Rating Plan
Manual which necessitates the filing of Item U-1344.
Remove wholesale automobile parts operation from Code
Automobile Parts and Accessories 8010-Store Hardware and assign it to amended Board
B-1345 10/01/97 5/9/1997 5/8/1997
Store Operation Classification Code 8046-Store: Automobile Parts and Vote
Accessories NOC & Drivers.
Establish a new classification procedure for sign
manufacturing & installation operations by adding an
additional phraseology to Code 9521 - Advertising
display service & removing shop operations from Code
9521, Code 9549 - Advertising Co. & drivers, & Code
9552 - Sign Mfg. - erection, repair, or maintenance & Board
shop, drivers. Provided a three-year rate/loss cost & Vote on
rating value transition for Code 9545 - Bill posting & Store
Revisions of Basic Manual
B-1335 07/01/97 drivers, Code 9549 & Code 9552 involving a payroll Ops - 11/25/1996 12/2/1996
Classification and Related Rules
weighted average of all three codes. Eliminated Codes DOI on
9545, 9549 & 9552 effective 7/1/2000 & combined these sign
classification codes into a newly created Code 9554. mfg
Also established two new classification codes, one for
retail drugstores & the other for retail book, record,
compact disc, software, video & audio cassette stores.
These businesses are presently classified to Code 8017 -
Store Retail NOC.
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Board
Effective Assigned AR Received Filed by
Item # Title of Filing Brief Description Vote or NCCI Circular
Date Risk count at DOI DOI
DOI
Update the present percentages & factors that apply
when increasing the limits of employers liability on a
workers compensation and employers liability policy or a
policy with Admiralty/FELA coverage. Also contemplates
the creation of Appendix E in the Basic Manual, which
will contain expanded tables for limits of employers
liability & Admiralty/FELA coverage as well as provide for
Employers Liability and corresponding minimum premium values. Further, this
B-1337 07/01/97 DOI 3/10/1997 3/11/1997
Admiralty/FELA Increased Limits item was intended to clarify the application of the
minimum premium for increased limits. It as also
intended to provide the proper sequence for the
application of the increased limits percentages to reflect
the calculation of premium gross of merit rating
modification or deductible credits in those states where it
is permissible to provide workers compensation coverage
on a deductible basis.
Amended Rule V of the Basic Manual for Workers Comp.
& Employers Liab. Ins. to exclude from the definition of
Davis-Bacon Wages Placed By An
remuneration, payments made by an employer into a Board
B-1340 Employer Into Third-Party 07/01/97 3/6/1997 3/7/1997
third-party pension trusts for the Davis-Bacon Act or a Vote
Pension Trust
similar wage law, provided the pension trust is qualified
under IRC Sections 401(a) & 501(a).
Amended the Basic Manual to include a general
explanation of "wrap-up" & provide more information
regarding the proper issuance of policies under the wrap- Board
B-1342 Wrap-Up Construction Projects 07/01/97 2/26/1997 2/27/1997
up option. Also added rules to the Experience Rating Vote
Plan Manual regarding the definition & administration of
Wrap-Up Construction Projects.
Eliminated state special classification Code 3075-
Elimination of Code 3075 Board
O1-IN-97 07/01/97 Coppersmith Shop & reassigned these operations to Code 4/23/1997 5/7/1997
Coppersmith Shop Vote
3315-Brass or Copper Goods Mfg.
1997 Update to Retrospective Update the State and Hazard Group Severity Relativities
R-1341 07/01/97 DOI 1/24/1997 1/30/1997
Rating Plan Parameters of the Retrospective Rating Plan for each state.
Revise the Articles of Agreement of the National Workers
Compensation Reinsurance Pool. The intent of this
Proposed Revisions to Articles of
revision is to enable increased flexibility of the
RM-W-8020 Agreement of the NWCRP 03/05/97 DOI
reinsurance mechanism. This will allow variations of the
(Withdrawn)
current program, based on the local environment needs
& as changes occur.
Amend the original filing of Item R-1301 and provide
Hazard Group assignments for the admiralty Board
R-1301(A) Hazard Group Assignments 03/01/97 1/23/1997 1/27/1997
classifications which previously did not have Vote
assignments.
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Board
Effective Assigned AR Received Filed by
Item # Title of Filing Brief Description Vote or NCCI Circular
Date Risk count at DOI DOI
DOI
Repeal the provisions of RM-W-8015(A) related to Other
States Insurance and in its place require all assigned
carriers to attach the Residual Market Limited Other
Residual Market Limited Other States Insurance endorsement to all new and renewal Board
P-35 02/01/97 yes 1 10/4/1996 10/8/1996
States Insurance Endorsement assigned risk policies. This endorsement replaced Part Vote
Three-Other States Insurance of the Workers
Compensation & Employers Liability Policy with the
language contained in the endorsement.
Revise the previously filed Item P-35-Residual Market
Residual Market Limited Other
Limited Other States Insurance Endorsement. This item Board
P-35(A) States Insurance Endorsement 02/01/97 yes 1 12/31/1996 1/8/1997
supersedes the Item P-35 filing which was previously Vote
(Amended)
submitted.
Amend the Other States Insurance provision under the
Workers Compensation Insurance Plan Supplement -
Residual Market Limited Other Board
RM-W-8018 02/01/97 Additional Coverage's Under the WCIP. This filing is yes 1 10/4/1996 10/8/1996
States Vote
made in conjunction with Item P-35-Residual Market
Limited Other States Insurance Endorsement.
Eliminated certain admiralty classifications & their
phraseologies be continued as cross-references with
Revisions of Basic Manual other admiralty classifications that will not be eliminated. Board
B-1333 01/01/97 8/19/1996 8/21/1996
Classifications and Related Rules This filing also established new Basic Manual Rule IV-D- Vote
13 to clarify the classification procedure for recycling
operations.
Revise the Workers Compensation Insurance Plan (WCIP)
Workers Compensation Insurance Board
RM-W-8019 01/01/97 to establish a procedure for securing an effective date yes 1 1/16/1997 1/23/1997
Plan - Securing an Effective Date Vote
based upon the mail submission option.
Amends the schedule rating rules in the Experience
02-IN-96 Schedule Rating 12/01/96
Rating Plan Manual.
Removal of Roller-Skating Rink Operation from Code
9016-Amusement Park or Exhibition Operation & Drivers
and assign it to Code 9093-Bowling Lane; amended Basic
Revisions of Basic Manual Manual Rule V-B.2.p. to clarify the collection of Board
B-1331 10/01/96 6/17/1996
Classifications and Related Rules remuneration under this rule & established two new Vote
classifications for trucking operations, which will
eliminate & replace Code 7219 - Trucking - NOC - all
employees & drivers.
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Board
Effective Assigned AR Received Filed by
Item # Title of Filing Brief Description Vote or NCCI Circular
Date Risk count at DOI DOI
DOI
Established two new classifications for child day care
center operations & non-specialty child day camp
operations, established three new classifications for
contractors engaged in telephone or cable TV line
installation, established a new Standard Exception
Revisions of Basic Manual classification, Clerical Telecommuter Employees & Board
B-1330 07/01/96 10/3/1995 3/15/1996
Classifications & Related Rules amended Basic Manual Rule IV-E-2, Interchange of Vote
Labor, to address the treatment of the new code. Also,
established a new professional employees classification
for buildings operation & amended the current
classification phraseologies of Code 9015 & established
two new classifications for casino gambling operations.
Elimination of Chemical and Eliminate the Chemical and Dyestuff Rating Plan (CDRP)
Dyestuff Rating Plan (CDRP) - and in its place establish two classifications for risks Board
B-1334 07/01/96 3/8/1996 3/8/1996
Establishment of Two engaged in chemical operations which are not otherwise Vote
Replacement Classifications classified in the Basic Manual.
Update the (Revised) Retrospective Rating Plan for the
1996 Update to Retrospective effect of loss size inflation, which varies by state. This is Board
R-1329 07/01/96 1/24/1996 3/22/1996
Rating Plan Parameters accomplished by update of the State and Hazard Group Vote
Severity Relativities.
Endorsement permits an insurer to provide coverage in
Residual Market Multiple Board
P-29 06/01/96 additional states through companies within the same yes 1 2/2/1996 2/5/1996
Company Endorsement Vote
carrier group, either at policy issuance or mid-term.
Simplify and modernize the Basic Manual for Workers
Revised Basic Manual for Workers
Compensation and Employers Liability Insurance. Board
B-1327 Compensation and Employers 04/01/96 7/3/1995 7/17/1995
Several rule changes have been incorporated in this Vote
Liability Insurance
filing.
Amend Sections II and III of the Indiana Workers
RM-01-IN-96 Amendments to Indiana WCIP 04/01/96 DOI yes 1 5/21/1996 5/21/1996
Compensation Insurance Plan.
Revise the WCIP to support the new Residual Market
Application Processing System (RMAPS) & clarified items
previously established in Item RM-W-8017. Upon receipt
Revised Workers Compensation Board
RM-02-IN-95 04/01/96 of the deposit monies within the requested time frames, yes 1 12/14/1995 12/15/1995
Insurance Plan (Amended) Vote
coverage may be bound no earlier than 12:01 a.m. on
date following receipt of the completed signed
application.
Effective concurrently with Item RM-W-8017: Revised
Indiana Workers Compensation
Workers Compensation Insurance Plan. Revised ACORD Board
RM-03-IN-95 Insurance Plan - Revised ACORD 04/01/96 yes 1 11/20/1995 11/27/1995
133 assigned risk application form & eliminated the Vote
133 Application
Supplemental Truckers Application.
Revise the Workers Compensation Insurance Plan (WCIP
or Plan) to support a new application processing
Revised Workers Compensation Board
RM-W-8017 04/01/96 workflow as well as to clarify items previously yes 1 6/13/1995 6/16/1995
Insurance Plan Vote
established in the Restructured Workers Compensation
Insurance Plan (Item W-8014).
Revise the explanatory wording to Indiana state special
Board
O1-IN-96 Revised Wording for Code 7699 02/14/96 Code 7699, Firefighters-Medical Only & Drivers to include 2/14/1996 2/14/1996
Vote
reference to volunteer firefighters.
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Board
Effective Assigned AR Received Filed by
Item # Title of Filing Brief Description Vote or NCCI Circular
Date Risk count at DOI DOI
DOI
Updates the premium discount program which tailors
manual premium to reflect equitable expense provisions
Revised Premium Discount by size of policy. The last premium discount update was Board
B-1318 01/01/96 2/7/1995 8/15/1995
Program based on calendar year 1982 expenses and premiums by Vote
size of policy. This filing is based on data from calendar
year 1991.
Create three separate classifications for restaurant
Board
B-1328 Restaurant Classifications 01/01/96 operations which will replace and eliminate Code 9079. 10/23/1995 10/26/1995
Vote
(Codes 9082, 9083 & 9084).
Item B-1318 (Revised Premium Discount Program) was
recently approved in Indiana. The Premium Discount
Endorsement is intended to reflect the revised premium Board
None Premium Discount Endorsement 01/01/96 11/29/1995 11/30/1995
discount schedule & to inform policyholders of their Vote
eligibility for premium discounts under the revised
program.
Workers Compensation Statistical Establish the revised procedures for the reporting of Board
U-1336 01/01/96 3/22/1996 3/29/1996
Plan Revisions Workers Compensation Statistical Plan data elements. Vote
Workers Compensation Insurance Amend Part Three - Other States Insurance of the Board
P-33 10/01/95 yes 1 8/16/1995 8/21/1995
Plan - Other States Endorsement Workers Compensation and Employers Liability Policy. Vote
Real Estate Appraisal Companies- Establish Code 8721, a new classification for real estate Board
B-1325 07/01/95 5/16/1995 5/22/1995
Outside Employees-Code 8721 companies. Vote
1995 Update to Expected Loss
Update the (Revised) Retrospective Rating Plan for the
Size Ranges for Entry into the
effect of loss size inflation. Size inflation varies by state, Board
R-1316 Table of Insurance Charges & 07/01/95 12/15/1994 5/31/1995
and this is reflected in the update of the State and Vote
Update to Retrospective Rating
Hazard Group Severity Relativities.
State & Hazard Group Relativities
Manually rate six A-rated Codes and discontinue one Board
B-1323 A-Rate Procedure Elimination 05/01/95 3/28/1995 3/28/1995
code. Vote
Adds new classification wording or amends wording of
various classifications. Facilitate the proper classification
of risks, correct inconsistencies in the inclusion or
Changes in the Basic Manual exclusion of drivers in various cross-reference Board
B-1321 04/01/95 2/14/1995 2/16/1995
Classifications and Footnotes phraseologies under the same class code, & discontinue Vote
the requirement in certain classification wordings that
the code be authorized by the rating organization before
being used.
Eliminate certain classifications of WC business which are
Revision of Basic Manual Board
B-1322 04/01/95 too small to develop meaningful data for ratemaking 1/19/1995 1/23/1995
Classifications Vote
purposes.
By withdrawing Item E-1324, simple one rule applies in
Withdrawal of Item E-1324
Indiana: an employer may allow access to the experience
Experience Rating Plan -
E-1324 03/01/95 rating worksheet by submitting a letter of authority to DOI 12/18/1995 12/19/1995
Distribution of Experience Rating
the ICRB. This withdrawal filing eliminated the
Worksheet
distribution of rating worksheets annually to employers.
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Board
Effective Assigned AR Received Filed by
Item # Title of Filing Brief Description Vote or NCCI Circular
Date Risk count at DOI DOI
DOI
Quick Printing-Copying or
Introduce Code 8015, a new separate and distinct Board
B-1320 Duplicating Service-All Employees 02/01/95 11/17/1994 11/28/1994
classification for the quick printing industry. Vote
& Clerical, Salespersons, Drivers
Revise Hazard Group assignments for certain
classifications and provide Hazard Group assignments for
R-1301 Hazard Group Assignments 01/01/95 DOI 6/10/1994 6/13/1994
some classifications, which previously did not have an
assignment.
State special Basic Manual rule be established to provide
for the inclusion of coverage for eligible members or
Members of a Limited Liability
O3-IN-94 11/01/94 managers of limited liability companies. Also, that the DOI 9/29/1994 10/3/1994
Company (LLC)
payroll limitations applicable to partners or sole
proprietors appearing in the state
Establish the additional coverage's that will be made
available under the Workers Compensation Insurance
Additional Coverage's Under The Plan (Plan) in accordance with part (c) of the definition
W-8015 Workers Compensation Insurance 10/01/94 for "workers compensation insurance" found in Section I DOI yes 1 6/22/1994 6/29/1994
Plan of the Plan. Additionally, this filing established a
standard charge for waiver of subrogation under the
Plan.
Amendment to the original item's language regarding
"Other States Insurance". The amendment makes
provision of this coverage, where requested, a
requirement on the assigned carrier in those Plan states
Amended - Additional Coverage's
where the amended language is approved. Further, this
W-8015 (A) Under The Workers 10/01/94 DOI yes 1 9/29/1994 3/15/1995
amendment provides that any payment under Other
Compensation Insurance Plan
States Insurance be in the nature of indemnification, i.e.,
as indemnity against loss rather than against liability;
therefore, carrier licensure should not be an obstacle to
provision of this coverage.
Workers Compensation Insurance
Revised ACORD 133 form and instructions will replace
None Plan - Revised ACORD 133 09/06/94 DOI yes 1 9/6/1994
the ACORD 133 form and instructions currently in use.
Application and Instructions
Create a mandatory assigned risk retrospective rating
program for employers having residual market premium
Assigned Risk Mandatory Loss equal to or exceeding $200,000. This rating program,
O2-IN-94 09/01/94 DOI yes 1 2/25/1994 4/4/1994
Sensitive Rating Plan (LSRP) the Loss Sensitive Rating Plan (LSRP), is designed to
depopulate the residual market, and to promote safety &
loss control, & provide fairness.
A new classification Code 5536-Heating and Air
Heating and Air Conditioning
Conditioning Duct Work-Shop and Outside-& Drivers, be
B-1313 Duct Work - Shop and Outside -- 07/01/94 DOI 4/14/1994 4/15/1994
erected for all types of air conditioning/heating duct work
& Drivers
fabrication and installation.
1994 Update to Expected Loss
Update the (Revised) Retrospective Rating Plan for the
Size Ranges for Entry into the
effect of loss size inflation. Size inflation varies by state,
R-1304 Table of Insurance Charges & 07/01/94 DOI 11/19/1993 2/8/1994
and this is reflected in a concomitant update in the State
Update To Retrospective Rating
and Hazard Group Severity Relativities.
State & Hazard Group Relativities
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Board
Effective Assigned AR Received Filed by
Item # Title of Filing Brief Description Vote or NCCI Circular
Date Risk count at DOI DOI
DOI
Revised USL&HW Excess Loss
R-1310 07/01/94 Update the current USL&HW Excess Loss Factors. DOI 1/25/1994 1/25/1994
Pure Premium Factors
Amend Basic Manual Rule VI-F-5 to reflect that the
Minimum Premium Charges minimum premium for Code 8810 is the premium to be
B-1308 Applicable To Which No Exposure 04/01/94 charged for a policy where no remuneration or other DOI 2/3/1994 2/3/1994
Is Developed basis of premium is developed during the term of the
policy.
Basic Manual Rule VIII-F, be amended to provide for
additional flexibility in writing this type of business. No
B-1312 Wrap-Up Construction Projects 04/01/94 specific premium requirement for risks; multiple DOI 2/17/1994 2/22/1994
locations and projects; and no project duration
requirement would be permitted.
Filing Program - Extension of
Endorsement Effective Period - Extension of the effective period of Amendatory Board
P-28 04/01/94 3/23/1993 3/23/1993
Amendatory Endorsement - WC Endorsement - WC 00 03 18 Vote
00 03 18
Classification Code 5223 be amended to remove "All
Operations" from the phraseology & to allow a division of
Swimming Pool payroll between Codes 5223 & 9014 for one entity. This
B-1307 Construction/Maintenance 03/01/94 would require that the operations described by DOI 2/3/1994 2/3/1994
Operations Classification Codes 5223 & 9014 are conducted by
separate crews with no interchange of labor & separate
payroll records are maintained.
Special Indiana Classification For Provide an Indiana special classification and rate for
O1-IN-94 03/01/94 DOI 2/14/1994 2/14/1994
Roistered Volunteers "Rostered Volunteers".
Clarify the instructions for the reporting of corrections
Procedures for Reporting when subrogation recoveries are received and when
U-1306 Subrogation and Special Fund 02/01/94 special fund recoveries are anticipated or received. The DOI 8/19/1994 11/15/1994
Recoveries change ensured a more consistent reporting of statistical
data.
Indiana Workers Compensation Initial premium is determined by taking a percentage of
O1-IN-93 Insurance Plan - Initial Premium 01/01/94 the estimated annual premium. This percentage varies DOI yes 1 11/9/1993 11/10/1993
Requirements with the amount of the estimated annual premium.
Add greater flexibility to the Retrospective Rating Plan,
while retaining the principles of actuarial balance. The
Retrospective Rating Filing
R-1293 10/01/93 major change is the addition of an alternate allocated DOI 4/7/1993 5/17/1993
Flexibilities
loss adjustment expense option (ALAE Option) allowing
inclusion of actual ALAE with loss.
Workers Compensation Insurance Replace the current state-specific WCIP application form
A-8016 Plan - Implementation of ACORD 07/16/93 with generic ACORD application forms - 130 and 133 in DOI yes 1 7/1/1993 7/19/1993
Application Forms this state.
Establish a new classification Code 9516 (Electronic
Electronic Entertainment Devices - Entertainment Devices) be erected for the installation,
B-1298 07/01/93 DOI 3/8/1993 3/11/1993
Installation, Service or Repair service or repair of electronic entertainment devices
including radio, television, video and audio equipment.
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Board
Effective Assigned AR Received Filed by
Item # Title of Filing Brief Description Vote or NCCI Circular
Date Risk count at DOI DOI
DOI
Basic Manual Rule VII-E-1 be revised to clarify the
original intent of the combination of policies for premium
discount. Under the proposed rule change, multiple
Premium Discount - Combination policies issued to the same insured by one or more
B-1299 07/01/93 DOI 3/8/1993 3/11/1993
of Policies insurance carriers under the same management shall be
combined for the purpose of computing the premium
discount for the subject insured unless the insured
instructs the carrier to the contrary.
Basic Manual Rule V-B be revised to consolidate all
Premium Basis - Revision to Basic remuneration inclusion and exclusion schedules found in
B-1300 07/01/93 DOI 3/8/1993 3/11/1993
Manual Rule V both the Premium Audit Reference Book and in the Basic
Manual to provide more uniformity of language.
1993 Update to Expected Loss
Size Ranges for Entry into the
Update the (Revised) Retrospective Rating Plan for the
R-1294 Table of Charges and Update to 07/01/93 DOI 10/21/1992 3/4/1993
effect of loss size inflation.
Retrospective Rating State and
Hazard Group Relativities
Establish a restructured Workers Compensation
Insurance Plan (WCIP or Plan) which (1) provides greater
regulatory oversight and scrutiny for Plan activities
Restructured Workers including the reinsurance aspects of the Plan; (2)
W-8014 02/01/93 DOI yes 1 1/22/1993 1/29/1993
Compensation Insurance Plan strengthens the monitoring & enforcement of servicing
carrier performance of maximize efficiencies in the
operation of the assigned risk plan; & (3) provides for a
self-funded residual market.
Expansion of the Large Risk Alternative Rating Option to
include multiple line rating plans. This includes any
Large Risk Alternative Rating
R-1295 01/01/93 combination of workers compensation, general liability, DOI 11/6/1992 12/1/1992
Option/Multiple Lines
hospital professional liability, automobile physical
damage, crime and glass coverage.
Establish the proposed definition of allocated loss
adjustment expenses (ALAE), which emphasizes the
Definition of Allocated Loss
U-1292 01/01/93 function of claims adjusting irrespective of who performs DOI 11/30/1992 12/4/1992
Adjustment Expenses
the function (the carrier or an outside vendor). Refer to
WC Statistical Plan Part IV, page 21 through 24.
Amend the rules of the Retrospective Rating Plan Manual
Retrospective Rating Filing which provide for the filing of individual risk
R-1291 12/01/92 DOI
Requirement - Revised Procedure retrospective rating plan values for approval by the
rating organization, but on a specific-request basis only.
New code classifications necessitates this amendment to
incorporate these codes into the Deductible Hazard Table
Deductible Program Amendment
None 11/30/92 found in the Indiana State Special pages of the Basic DOI
Hazard Tables Update
Manual for Workers Compensation and Employers
Liability. Codes 5472, 5473 and 7232.
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Board
Effective Assigned AR Received Filed by
Item # Title of Filing Brief Description Vote or NCCI Circular
Date Risk count at DOI DOI
DOI
Establish Basic Manual rules designed to afford equitable
Basic Manual Changes or
B-1289 10/01/92 treatment for insureds in the addition or deletion of DOI
Corrections In Classifications
classifications to a policy after the inception of the policy.
Establish Basic Manual and Experience Rating Plan
Migrant and Seasonal Agricultural
B-1290 10/01/92 Manual rules for providing Migrant and Seasonal DOI
Worker Protection Act Coverage
Agricultural Worker Protection Act coverage.
Update to Retrospective Rating Update the State and Hazard Group Relativities of the
Board
R-1279 State and Hazard Group 10/01/92 (Revised) Retrospective Rating Plan, in those states that
Vote
Relativities have approved Item R-1259(A).
Amended, eliminated & added classification
phraseologies in the "C" section, & amended Rule IV-B-2-
Phraseology Modernization - Board
B-1285 09/01/92 c in the Basic Manual for WC & Employers Liability
Basic Manual Vote
Insurance be added to identify modern business
operations found today.
Discontinue the $1.00 per day premium charge for strike
Detective or Patrol Agency duty as presently stipulated in the footnote under
B-1287 09/01/92 DOI
Changes for Strike Duty Classification Code 7720 in the Basic Manual for Workers
Compensation and Employers Liability Insurance.
Discontinue the current Workers Compensation
Strike Duty Premium & Loss Statistical Plan procedures for reporting the strike duty
U-1288 09/01/92 DOI
Reporting Instructions premium charge under Statistical Code 0111 for
Classification Code 7720.
Asbestos Removal Operations Code number for Asbestos Contractor-Pipe and Boiler
B-1280 07/01/92 DOI
(Amended) Work Exclusively be changed from 5184 to 5472.
Division of Single Employee's
Basic Manual Rule IV-E-2 be amended to delete the
Payroll Between
restrictive word "such" from this rule. Further, that Rule
Construction/Erection
B-1281 07/01/92 IV-E-2 be amended to indicate that Code 8810 (Clerical) DOI
Classifications and Non-
and Code 8742 (Outside Salespersons) are not available
Construction/Erection
for division of payroll under this rule.
Classifications
Eliminate present inconsistencies in Code 0042 and Code
Code 0042-Landscape Gardening 9102 footnotes in regard to division of payroll for
& Drivers vs. Code 9102-Lawn insureds engaged in both landscaping and lawn Board
B-1284 07/01/92
Maintenance-Commercial or maintenance operations and to permit division of a single Vote
Domestic & Drivers employee's payroll between such classifications provided
proper payroll records are maintained.
Numerous classification changes have been made since
None Deductible Program Amendment 07/01/92 the inception of the Deductible Program necessitating a DOI
change in the classification schedule.
Filing Program - Revised Policy
and Endorsement Forms - Endorsement used to permit insureds to purchase
P-27 Migrant and Seasonal Agricultural 07/01/92 coverage for damages payable under the Migrant and DOI
Worker Protection Act Coverage Seasonal Agricultural Worker Protection Act (MSAWPA).
Endorsement - WC 00 01 11
1992 update to Expected Loss
Update the Retrospective Rating Plan for the effect of Board
R-1274 Size Ranges For Entry Into The 07/01/92
loss size inflation since the last such filing. Vote
Table of Insurance Charges
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Board
Effective Assigned AR Received Filed by
Item # Title of Filing Brief Description Vote or NCCI Circular
Date Risk count at DOI DOI
DOI
Add rules and four endorsements for employee leasing
B-1276 Employee Leasing Arrangements 04/01/92 arrangements. Adds rules to ER Plan Manual, Basic DOI
Manual, & Policy Forms Manual.
Assigned Risk Cancellation
Basic Manual be amended to reflect the assigned risk
Premium Determination
cancellation premium determination exception with Board
B-1278 Exception-Insured Obtains 04/01/92 yes 1
respect to cancellation for reasons of securing coverage Vote
Coverage Through the Voluntary
through the voluntary market.
Market
Basic Manual Changes to
Implement changes made in the WC & Employers Liab
Accommodate Revisions in the
Insurance Policy & related policy forms endorsements as
B-1286 Workers Compensation and 04/01/92 DOI
provided for in Item filing P-28 (WC & Employers Liab
Employers Liability Insurance
Ins Policy - WC 00 00 00 A).
Policy
Codes 8824 (Retirement Living Centers: Health Care
Employees), 8825 (Retirement Living Centers: Food
Board
B-1268 Retirement Living Centers 01/01/92 Service Employees) and 8826 (Retirement Living
Vote
Centers: All Other Employees & Salespersons, Drivers)
be established.
Footnote to Code 8755 (Labor Union - All Employees) be
Labor Unions Charges For Strike amended to remove references to additional premium for Board
B-1272 01/01/92
Duty strike duty as well as eliminate parameters defining a Vote
strike period.
Provides a revised procedure for determining short rate
Short Rate Cancellation premiums. Alternative short rate cancellation table Board
B-1273 01/01/92
Basic Manual Rule X-D Appendix D of the Basic Manual limited to policies written Vote
for a one-year period.
Developed to encourage insurance carriers to take an
None Take Out Credit Program 01/01/92 DOI yes 1
active role in depopulating the residual market.
Not a change in Plan language. The Plan will be in both
Workers Compensation Insurance
the Basic Manual for Workers Compensation and
None Plan (WCIP) - Inclusion in the 01/01/92 DOI yes 1
Employers Liability Insurance and the National Pool
Basic Manual
Handbook.
Amended Indiana Workers
None 01/01/92 Corrections made under Item 5, 6 and 9 DOI yes 1
Compensation Insurance Plan
Rules and endorsements to implement the deductible
None Deductible and Co-Insurance 01/01/92 and co-insurance program as approved by the Indiana DOI
General Assembly.
Carriers will no longer collect or record the total
Strike Duty Premium and Loss employee days (non payroll exposure), strike duty Board
U-1275 01/01/92
Reporting Instructions premium or corresponding losses on the unit report for Vote
labor union members engaged in strike duty.
Equitably price retrospective rating when there are
Retrospective Rating Severity differences in expected loss severity of individual Board
R-1259(A) 12/01/91
Adjustments insureds selecting the plan. Secondly, introduce a new Vote
retrospective rating option for large risks.
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Board
Effective Assigned AR Received Filed by
Item # Title of Filing Brief Description Vote or NCCI Circular
Date Risk count at DOI DOI
DOI
Basic Manual Rule IX-C.3 be amended to provide that the
additional premium charged on the policy of an insured
contractor for the operators provided with mobile
Remuneration For Subcontractors- Board
B-1267 09/01/91 equipment by an uninsured subcontractor, in the
Mobile Equipment With Operators Vote
absence of payroll records, be calculated utilizing a
payroll amount for the operators which shall not be less
than 33-1/3% of the subcontract price.
Trucking: Mail, Parcel or Package
Delivery-Under Contract With The Introduce a new separate and distinct classification for Board
B-1269 09/01/91
U.S. Postal Service-All Employees U.S. Postal Service contract mail haulers. Vote
& Drivers (Code 7232)
Voluntary Compensation and Employers Liability
Coverage Endorsement - WC 00 03 11 A. The language
Filing Program - Revised Policy & Board
P-26 08/01/91 of the endorsement be changed to specifically reflect the
Endorsements Forms Vote
intent of its originators and that the phrase "arising out
of and" be added to A.2.
Update Part Four-B of the Retrospective Rating Plan
Update to Expected Loss Size
Manual, The Table of Expected Loss Ranges for entry into Board
R-1266 Ranges for Entry Into The Table 07/01/91
the Table of Insurance Charges. The new ranges may be Vote
of Insurance Charges
found in Exhibit II.
General Information Page Notes - WC 00 00 01 A. The
General Information Page Notes have been amended to
include a note which permits carriers showing a renewal
Filing Program - Revised Policy & agreement statement on the Information Page or Board
P-24 06/01/91
Endorsements Forms entering into a renewal agreement not shown on the Vote
Information Page to list any or all endorsements in Item
3.D, elsewhere on the Information Page, or in an
Information Page Schedule.
Migrant & Seasonal Agricultural Worker Protection Act
Filing Program - Revised Policy & Exclusion Endorsement-WC 00 01 00. An endorsement Board
P-25 05/01/91
Endorsements Forms be approved to explicitly exclude damages under the Act Vote
from coverage under the policy.
Transmittal Letter Reporting Revise and simplify the transmittal letter used to submit Board
U-1270 05/01/91
Instructions hard copy unit reports. Vote
Amends the Experience Rating Plan Manual to provide for
Experience Rating Plan - Revision recalculation of an experience modification if a revised
E-1264 of Losses Due to Special Fund 01/01/91 unit report is filed due to a carrier's paid or anticipated
Reimbursement recovery from a special fund as defined in the Statistical
Plan Manual.
Removal of additional medical coverage from Indiana
Removal of Additional Medical
None 01/01/91 Special Classification due to change in the Indiana DOI
Charge
statutes.
Expand the use of the statistical code 9849 currently
used to designate the additional premium required to
Revised Definition Statistical Board
U-1262 01/01/91 balance the minimum premium for Admiralty and/or
Code 9849 Vote
FELA coverage. This applies to both standard &
increased limits.
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Board
Effective Assigned AR Received Filed by
Item # Title of Filing Brief Description Vote or NCCI Circular
Date Risk count at DOI DOI
DOI
To document additional Workers Compensation
Exposure and Premium Reporting Board
U-1271 01/01/91 Statistical Plan reporting requirements for no exposure
Instructions Vote
unit reports, on hard copy or magnetic tape mediums.
Provide necessary review and audit information on
WCIP Application - Supplemental
employee leasing assigned risks by requesting applicants
Information and Rearrangement
A-8009 11/01/90 to declare their status as concerns which lease out DOI yes 1
and Supplemental Employee
employees or which lease their employees from another
Leasing Application
firm.
Trucker Supplemental
None Application, including Guide for 11/01/90 yes 1
Completion
Update the pension tables contained in the Workers
Compensation Statistical Plan Manual using the 1979-
Workers Compensation Statistical 1981 U.S. Decennial Life Tables. In addition, a Pension Board
U-1260 10/01/90
Plan Manual - Part XII Tables Table Guide was developed to assist carriers in locating Vote
the proper table to use when reserving claims for
Survivorship Benefits.
Plan be amended to require the employer or his
representative to include with and as a part of the
application a copy of the employer's latest filed federal
Board
W-8002 (A) WCIP - Payroll Verification 09/01/90 employer 941, 941E, 942 or 943 form or equivalent state yes 1
Vote
or federal-required verifiable current payroll record, or
notarized explanation as to why no such record is
available.
Plan be amended to specify that an offer of any
reasonable rating plan approved for use in this
Workers Compensation Insurance Board
W-8003 (A) 09/01/90 jurisdiction shall be deemed an offer of insurance in a yes 1
Plan - Applicant Eligibility Vote
regular manner and that disputes arising thereunder
shall be resolved under the Plan.
The rules of the Experience Rating Plan Manual be
modified to provide, with limited exception, for the
Change of Ownership continued use of experience of an entity undergoing an Board
E-1261 07/01/90
Rules/Transfer of Experience ownership change. The continued experience would Vote
generally be transferred to the acquiring, surviving or
new entity.
Updated Part Four-B of the Retrospective Rating Plan
Update to Expected Loss Size
Manual, the Table of Expected Loss Ranges for entry into Board
R-1257 Ranges For Entry Into The Table 07/01/90
the Table of Insurance Charges. The new ranges may be Vote
of Insurance Charges
found in Exhibit II.
Establish Loss Coverage Codes which will allow for the
identification of claims involving Workers Compensation
Board
U-1258 Revised Loss Coverage Coding 07/01/90 or Employers Liability benefits exclusively, as well as
Vote
those claims which contain both Workers Compensation
and Employers Liability benefits.
Revision To The Workers
None Compensation Insurance Plan In 05/01/90 Rule 13 was changed and Rule 14 was deleted. yes 1
The State of Indiana
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Board
Effective Assigned AR Received Filed by
Item # Title of Filing Brief Description Vote or NCCI Circular
Date Risk count at DOI DOI
DOI
Amended Indiana Application For WCIP Application amended to include the 25% surcharge
None 01/03/90 DOI yes 1
Workers Compensation Insurance on risks with premium in excess of $2,000.
Establish rules restricting the application of increases in
Application of Late Experience experience modifications issued after the rating effective
Board
E-1255 Modifications/Contingent 01/01/90 date. It also establishes rules for the calculation of
Vote
Modifications experience rating modifications using the available
portion of the data currently used.
Statistical Codes 0133 & 0179
Establish two unique statistical codes for reporting
For Reporting Supplemental
supplemental disease experience in connection with
Disease Experience in Connection Board
U-1246 01/01/90 asbestos exposure and supplemental disease experience
with Asbestos Exposure and Vote
in connection with exposures not otherwise classified
Exposures Not Otherwise
(NOC).
Classified - (NOC)
Classification footnote phraseology for Code 8039 be
Store: Department - Retail (Code updated to increase the minimum payroll requirement to Board
B-1252 12/01/89
8039) reflect inflationary trends, and to amend the types of Vote
merchandise handled.
Establish a new classification Code 8061 (Store: Grocery-
Store: Grocery-Convenience-
Convenience-Retail) and to amend the classification Board
B-1253 Retail (Code 8061) and Store: 12/01/89
footnote phraseology for Code 8006 (Store: Grocery- Vote
Grocery-Retail (Code 8006)
Retail).
Proposed that Basic Manual Rule IV-B.4. be amended to
Employer Operated Day Care Board
B-1254 12/01/89 indicate that employer operated day care services are
Services - General Exclusions Vote
general exclusions.
The following wording was added to the WCIP: The
Revision To The Workers Indiana Governing Committee shall have jurisdiction over
None Compensation Insurance Plan In 10/01/89 appeals from insureds and carriers on Plan matters. DOI yes 1
The State of Indiana Such Committee shall also review and prescribe
operating rules and amendments for this Plan.
Schedule Rating Table filed in accordance with Senate
None Schedule Rating Table 09/01/89 DOI
Bill 542.
Update to Expected Loss Size
Update the Retrospective Rating Plan for the effect of Board
R-1250 Ranges for Entry Into The Table 07/01/89
loss size inflation since 1988. Vote
of Insurance
Amend the footnote for Code 7370 (Taxicab Co. All Other
Taxi Cab Company All Other Employees & Drivers) to clarify that only vehicles leased Board
B-1249 05/01/89
Employees & Drivers (Code 7370) or rented to others shall be subject to the per vehicle Vote
upset payroll amount.
Revised WCIP Information
None 05/01/89 Revised WCIP Handbook DOI yes 1
Procedures Handbook
Indiana WCIP Supplemental Board
None 05/01/89 Indiana WCIP Trucker Supplemental Applications. yes 1
Applications Vote
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Board
Effective Assigned AR Received Filed by
Item # Title of Filing Brief Description Vote or NCCI Circular
Date Risk count at DOI DOI
DOI
Language be added to the first paragraph to provide "If
Revised Filing Program Policy &
an entry is shown in Item 3 of the Schedule the
Endorsement Forms - Alternate Board
P-20 02/15/89 insurance afforded by this endorsement applies only to
Employer Endorsement - WC 00 Vote
work you perform under the contract or at the project
03 01A
named in the Schedule".
Proposes that the current retrospective rating plan Tax
Revised Retrospective Rating Tax Board
R-1244 01/01/89 Multiplier be updated to include a new provision for
Multiplier Vote
assigned risk subsidy.
Employers Liability Increased Establish statistical code 9840 to be used when coding
Board
U-1248 Limits-Admiralty or FELA over 01/01/89 Employers Liability Increased Limits-Admiralty or FELA
Vote
$5,000-Statistical Code 9840 over $5,000.
Total Filings 245 Total Assigned Risk Filings 56
Percent Assigned Risk Filings of Total 23%
Notes:
1. Column titled "Board Vote or DOI" indicates if a filing was first reviewed by the the ICRB Governing Board for a vote prior to the ICRB
submitting a filing to the Indiana Department of Insurance (DOI). Typically, filings that are rate sensitive go straight to the DOI without a
mail vote. This is done to assure compliance with anti-trust law.
2. Column titled "Assigned Risk" indicates if the filing dealt with assigned risk plans or rules.
3. Notice additional tabs in spreadsheet (please see below).
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New Code Description Previous Code Filing
Effective 1/1/1996
9082 Restaurant NOC 9079 B-1328
9083 Fast Food - no alcohol or servers 9079 B-1328
Bar - greater than 50% alcohol receipts
9084 9079 B-1328
note: code 9058, Hotel Restaurant still in use
Effective 7/1/1996
8869 Child Day Care Centers & Camps-Professionals 8868 B-1330
9059 Child Day Care Centers & Camps-Others & D 9101 B-1330
7611 Telephone & Cable TV Line Install - Underground 6325 & 7601 B-1330
7612 Telephone & Cable TV Line Install - Overhead 7601 B-1330
7613 Telephone & Cable TV Line Install - Service 7600 B-1330
8871 Clerical Telecommuter 8810 B-1330
Buildings - Pros, Mgrs, Lease Agents & CS
9012 9015 B-1330
note: code 9015 still applies to all other employees
9062 Casino Gambling & CSD 9061 B-1330
9044 Casino - Hotel & CSD 9052 B-1330
Chemical &
4828 Chemical Mixing or Blending NOC & D Dyestuff Rating B-1334
Plan
4829 Chemical Mfg. NOC & D B-1334
Effective 10/1/1996
9093 Roller-Skating Rink 9016 B-1331
Trucking Local hauling only-all employees & D
7228 7219 B-1331
within radius of 200 miles of base terminal
Trucking Long distance hauling-all employees & D
7229 7219 B-1331
outside radius of 200 miles of base terminal
Effective 1/1/1997
(combination of admiralty codes: maintained 3, deleted 18) B-1333
7019 Vessels, Admiralty Law, Program I Various B-1333
7027 Vessels, Admiralty Law, Program II - State Act Benefits Various B-1333
7062 Vessels, Admiralty Law, Program III - LHWCA Benefits Various B-1333
Effective 7/1/1997
Store Drug - Retail (at least 40% prescription receipts;
8045 8017 B-1335
less than 50% food service receipts)
Store: Book, Record, CD, Software, Video or Audio Cassette - Retail
8072 (not for stores with more than 50% receipts in food service, musical 8017 B-1335
instruments, computers, hardware, or household/electronic equipment)
Effective 10/1/1997
Store: Automobile Parts & Accessories NOC & D
8046 8010 B-1345
(wholesale was 8010, now 8046)
Effective 1/1/1998
5478 Carpet, Linoleum, Vinyl, Asphalt, or Rubber Floor Tile Installation 9521 B-1346
Effective 7/1/1998
4771 Explosives or Ammunition Mfg NOC & D Various B-1347
8006 Grocery - Retail (eliminate 8061 Grocery Convenience; combine w/ 8006) 8061 B-1348
Effective 1/1/1999
7422 Patrol photography, mapping or survey work: Flying Crew 7418
2172 Cigar Mfg 2177
4279 Wallpaper Mfg 4301
Effective 7/1/2000
Sign installation, maintenance, repair, removal, or replacement NOC
9554 9545, 9549 & 9552
away from shop & D (Item B-1335)
9516 Television, Video, Audio & Radio Equipment-installation, service or repair
Effective 1/1/2006
5537 Heating, Ventilation, A/C & refrig system install, service & repair & D Various B-1391
Automobile Recycling & D
3821 None B-1391
Note: National rule allows code 8046 for store employees. Indiana will not
adopt this change consistent with Basis Manual Rule 1.A.2. See Item B-1391
Effective 7/1/2007
7710 Firefighters & Drivers 7704 B-1397
Firefighters & Drivers - Volunteer
7711 7704 B-1397
Note: 7699 Fighters - Med Only & D continues as an Indiana special code
7705 Ambulance Service & EMS (Emergency Medical Service) Providers & Drivers 7370 B-1397
2709 Logging or Tree Removal - Mechanized Equipment Operators B-1397
2701 Logging or Tree Removal - Log Hauling & D B-1397
Effective 1/1/2008
8864 Social Services Organization 8861 & 9110 B-1387
8842 Group Home 8861 & 9110 B-1387
7720 Juvenile Detention Center 8861 & 9110 B-1387
2157 Bottling 2156 B-1387
Effective 1/1/2010
8869 Child Care Services 9059 B-1408
8602 Surveyors 8601 B-1408
8603 Architectural or Engineering Firm—Clerical 8810 B-1408
8725 Inventory Counters 8803 B-1408
7402 Air Traffic Controllers 7402 B-1418
Effective 1/1/2011
6503 Potato Chip, Popcorn & Snack Chip Mfg. NOC 6504 B-1409
Manufactured, Modular, or Prefabricated Home Manufacturing —Shop Work &
2797 B-1410
Drivers 2797 state special
Manufactured, Modular, or Prefabricated Home Setup, Hookup, or Installation
2799 B-1410
at Building Site 7228, 7229 & 8380
8037 Store—Superstores and Warehouse Clubs 8017 or 8039 B-1412
4109 Integrated Circuit Mfg 4150 B-1413
Legend: C = Clerical; S = Salesperson; D = Driver
Notes
Source: ICRB files as of 10/23/09
Also see "Class Code Changes" tab
Also see CompClues document "New Class Codes"
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Indiana Class Code Changes
Effective 1/1/06 and after
Code General Category Action Filing Effective
2576
Bag or sack mfg Eliminate & merge into 2501 B-1391 1/1/2006
2578
4308 Linotype printing Eliminate & merge into 4299 B-1391 1/1/2006
2150 Ice mfg Eliminate & merge into 8203 B-1391 1/1/2006
8050 Five & dime store Eliminate & merge into 8017 B-1391 1/1/2006
9083 Restaurant Update phraseology to include alcohol B-1391 1/1/2006
8721 Stop use of code 8742 as not applicable to
Real estate appraisal B-1391 1/1/2006
8742 appraisal company
5191
Commercial restaurant equip installation Update phraseologies, delete old phrases B-1391 1/1/2006
9519
Update phraseology, add Indiana exception that
3821 Auto recycling B-1391 1/1/2006
8046 not available for store employees
5536 Eliminate & merge into 5537
5537 Heating a/c contractor (HVACR) New "Heating, Ventilation, A/C & refrig system B-1391 1/1/2006
install, service & repair & drivers"
4360
4431 Audio or visual recording media mfg Update phraseologies, delete old phrases B-1394 1/1/2006
4923
5703 Building raising or moving Update phraseologies, delete old phrases B-1394 1/1/2006
2041 Candy, chocolate & confection mfg Update phraseologies, delete old phrases B-1394 1/1/2006
6003
Dock & seawall construction Update phraseologies, delete old phrases B-1394 1/1/2006
6005
5606 Contractor executive supervisor Update conditions for use of code B-1394 1/1/2006
5221
5348
Floor coverings installation Update phraseologies, delete old phrases B-1394 1/1/2006
5437
5478
2014
Grain milling mfg Update phraseologies, delete old phrases B-1394 1/1/2006
2016
8835 Home health care Update phraseologies, delete old phrases B-1394 1/1/2006
2105
2112 Juice mfg Update phraseologies, delete old phrases B-1394 1/1/2006
2143
7380
Messenger/courier service Update phraseologies, delete old phrases B-1394 1/1/2006
8742
4239
4250
Newsprint mills Update phraseologies, delete old phrases B-1394 1/1/2006
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Indiana Class Code Changes
Effective 1/1/06 and after
Code General Category Action Filing Effective
Newsprint mills Update phraseologies, delete old phrases B-1394 1/1/2006
4279
8264
8392 Parking lots Update phraseologies, delete old phrases B-1394 1/1/2006
8017
8018 Pet stores Update phraseologies, delete old phrases B-1394 1/1/2006
8031
2211
2286
2501
2600
Tanning & fur mfg Update phraseologies, delete old phrases B-1394 1/1/2006
2623
2688
4493
8103
0106
5183
Tree pruning Update phraseologies, delete old phrases B-1394 1/1/2006
5507
9102
7710 New "Firefighters"
7711 New "Firefighters & Drivers - Volunteers"
Firefighters Note: 7699 Fighters - Med Only & D continues B-1397 7/1/2007
as an Indiana special code
Eliminate 7704 eff 7/1/07
New "Ambulance Service & EMS & D"
7705 Ambulance Service & EMS B-1397 7/1/2007
Eliminate cross reference to 7370
7720 New "Juvenile Detention Center"
8842 New "Group Homes"
Charitable welfare organizations B-1387 1/1/2008
8864 New "Social Services Org"
Eliminate 8861 & 9110 eff 1/1/08
2156 Bottling Eliminate & merge into 2157 B-1387 1/1/2008
0005
0016
0035 Farms Update phraseologies, delete old phrases B-1406 1/1/2010
0050
0079
2021 Sugar mfg Update phraseologies, delete old phrases B-1406 1/1/2010
2172
Tobacco mfg Update phraseologies, delete old phrases B-1406 1/1/2010
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Indiana Class Code Changes
Effective 1/1/06 and after
Code General Category Action Filing Effective
Tobacco mfg Update phraseologies, delete old phrases B-1406 1/1/2010
2174
8869 Child day care services Eliminate 9059 & reassign to 8869 B-1408 1/1/2010
8601 Revise phraselogy & cross references
New "Surveyors, Timber Cruisers, Oil or Gas
8602
Geologists or Scouts, & Drivers"
New "Architectural or Engineering Firm —Clerical
8603 Engineering & research B-1408 1/1/2010
Staff"
8810 Remove "drafting" function, reassign to 8603
New "Inventory Counters —Traveling —Including
8725 Salespersons & Clerical"
2001 Eliminate 2001 & reassign to 2003
Bakery & food New "Potato Chip, Popcorn & Snack Chip Mfg B-1409 1/1/2011
6503
NOC"
2812 Carpentry Eliminate 2812 & reassign to 2883 B-1410 1/1/2011
New national "Manufactured, Modular, or
Prefabricated Home Manufacturing —Shop Work
2797 B-1410 1/1/2011
& Drivers" to replace IN state special "Mobile or
Manufactured housing Trailer Home Mfg. & Drivers"
New national "Manufactured, Modular, or
2799 Prefabricated Home Setup, Hookup, or B-1410 1/1/2011
Installation at Building Site"
4362 Film Eliminate 4362 & reassign to 4360 B-1412 1/1/2011
4561 Varnish & paint mfg Eliminate 4561 & reassign to 4439 B-1412 1/1/2011
8037 Superstores & warehouse clubs New "Store - Superstores & Warehouse Clubs" B-1412 1/1/2011
4112 Eliminate 4112 & reassign to 4110
4150 Fiber optics & semiconductors Eliminate 4150 & reassign to 4149 B-1413 1/1/2011
4109 New "Integrated Circuit Mfg"
7601 Eliminate 7601 & reassign to 7600
7611 Eliminate 7611 & reassign to 7600
Telecommunications & electronics B-1413 1/1/2011
7612 Eliminate 7612 & reassign to 7600
7613 Eliminate 7613 & reassign to 7600
Eliminate 5651 & reassign to 5645
5651 Carpentry B-1415 1/1/2011
Update phraseologies, delete old phrases
New ―Aviation —Air Traffic Controllers Under
7402 Aviation (changes B-1399) B-1418 1/1/2010
Contract with the FAA‖
Notes
4/18/2011 68deacf4-6ff8-4a50-8e31-8590ec25b1af.xls
Indiana Class Code Changes
Effective 1/1/06 and after
Code General Category Action Filing Effective
Source: ICRB files as of 10/23/09
Also see "New Codes" tab
Also see CompClues document "New Class Codes"
4/18/2011 68deacf4-6ff8-4a50-8e31-8590ec25b1af.xls
